1983
DOI: 10.1093/ajcn/38.6.901
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Lactase deficiency in the South African Black population

Abstract: H2 breath analysis was carried out to determine the prevalence of lactase deficiency in different tribes of the South African Black population. Lactase deficiency was common (78%), despite the fact that two of the largest tribes (Zulu and Xhosa) are cattle herders and milk drinkers. This apparent anomaly is due to the consumption of a traditional fermented buttermilk, ("amasi" which has a low lactose content) instead of fresh milk. The most important reason for lactase deficiency, however, is that the South Af… Show more

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Cited by 28 publications
(17 citation statements)
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“…The Fulanis, mainly cattle rearers, who lived in the north were milk users and were found to be lactose absorbers in contrast to the Yorubas in southern Nigeria who lived in a nonmilking zone and were predominantly lactose intolerant. The prevalence of lactose intolerance has been estimated at 52% for the Fulani, 85.9% for the Yoruba and Ibo, and 76% for the Hausa in Nigeria [69, 70]. Majority of South African blacks are lactose intolerant irrespective of tribe of origin, and this is attributed to origination and migration of South African blacks from the west and central African zone of nonmilking [70].…”
Section: Discussionmentioning
confidence: 99%
“…The Fulanis, mainly cattle rearers, who lived in the north were milk users and were found to be lactose absorbers in contrast to the Yorubas in southern Nigeria who lived in a nonmilking zone and were predominantly lactose intolerant. The prevalence of lactose intolerance has been estimated at 52% for the Fulani, 85.9% for the Yoruba and Ibo, and 76% for the Hausa in Nigeria [69, 70]. Majority of South African blacks are lactose intolerant irrespective of tribe of origin, and this is attributed to origination and migration of South African blacks from the west and central African zone of nonmilking [70].…”
Section: Discussionmentioning
confidence: 99%
“…Individuals who are unable to digest lactose have what is called the "lactase nonpersistent" (LNP) trait. Although the LNP trait was once considered to be pathologic, it is now well understood that this trait is "ancestral" (i.e., all ancestors of modern humans had this condition) and widespread among human populations (Auricchio et al 1963;Newcomer et al 1983;Segal et al 1983). Individuals with the "lactase persistent" (LP) trait continue to have high levels of lactase production into adulthood.…”
Section: Lactase Persistencementioning
confidence: 99%
“…For example, Sudanese Beja had 17% (Bayoumi et al, 1982) and Zaire Tutsi 10% malabsorbers (Cox and Elliott, 19741, while Maasai had 62% (Jackson and Latham, 1979) and Dinka had 75% malabsorbers (Bayoumi et al, 1982). Most non-pastoralist, Bantuderived agricultural populations have high prevalences of lactose malabsorption at levels greater than 80% or 90% (Cook and Kajubi, 1966;Jackson and Latham, 1978;Kretchmer et al, 1971), despite the fact that some Bantu populations practice dairy pastoralism (Segal et al, 1983). Table 2 provides a list of populations and their prevalences of lactose malabsorption.…”
Section: Diet and Nutritionmentioning
confidence: 99%